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Purchase Order #:
Date:4/9/2024
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Distributor Name:
 Todd Wiggins-PBS VendingDist #:
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Sold to:South Tama County School DistrictShip to:Middle & High School
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(Location / Name)
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Address:1702 Harding StreetAddress:1715 Harding Street Tama, IA 52339
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City, State, Zip:
Tama, IA 52339
City, St, Zip:
701 S Church Street Toledo, IA 52342
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Contact:Chelsa AhrensPhone:
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Ship Via:Liftgate:
(If Yes, add liftgate fee)
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MethodNet Terms
Days
Financed
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of
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Payment
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QtyItem DescriptionUnit PriceTotal PriceFreightLiftgateTotal Due
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1Used/Reman HR-32 $3,995.00
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1New HR-32 $5,495.00
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Delivery, installation, and training$500.00
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Order Total:
$9,990.00
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Comments:
2 year warranty on all parts
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1. Title and Ownership - Title and ownership to the above listed equipment will not pass to the Buyer until purchase price is paid in full. However, risk of loss passes to the buyer upon shipment. This equipment is purchased for business purposes only. The Buyer grants the seller or assigns a security interest in the equipment until payment in full.
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3/13/20263/13/2026
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(Seller Signature)(Date)(Customer Signature, if applicable)(Date)
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ASSIGNMENT
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FOR VALUE RECEIVED, the undersigned does hereby sell, assign and transfer to
all his (its) right, title, and
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interest in and to the foregoing agreement and the equipment covered thereby and certifies that all statements therein are true and that said agreement is a bona fide instrument and the signatures thereon are real and correct and the amounts shown due are correct.
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Date:
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Seller:
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Signature of Seller:
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Title of Signer:
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